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Department of the Treasury -Internal Revenue Service
form 66$ (Y)(t) Notice of Federal Tax Lien
fRev.February 2004)
A Serial Number For Optional Use by Recording Office
rea:
SMALL BUSINESS/SELF EMPLOXED AREA #2
Lien Unit Phane: (800} 829-3903 723993510 to ^ 7c~~ ~! ~~
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As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including interest and penalties)
have been assessed against the following-named taxpayer. We have made ~ a
a demand for payment of this liability, but it remains unpaid. Therefore, -~,~ c ,,,
there is a lien in favor of the united States on al( property and rights to y
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property belonging to this taxpayer for the amount of these taxes, and - ~ - Q
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additional penalties, interest, and costs that may accrue. r
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Name of Taxpayer SHACKER ALNAJJAR & FADIA QUTOB ~ ® 2 ~
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Residence 701 LOUISA LN --~ -~-~ A
MECHANICSBURG, PA 17050-2499 -'~ ~ ~
IMPORTANT RELEASE INFORMATION; For each assessment listed below,
unless notice of the lien is refiled by the date given in column {e), this notice shall, -
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on the day following such date, operate as a certificate of release as defined Z ~/~ p~
in IRC 6325(a). o
Tax Period Date of Last Dayy for unpaid Balance
Kind of Tax Ending Identifying Number Assessment Refiling of Assessment
(a) (b) (c) (d) (e) (f)
1040 12/31/2007 XXX-XX-4269 04/19/2010 05/19/2020 212312.11
Place of Filing
Prothanatary
Cumberland Caunty
Carlisle, PA 17013
Total ~ $ 212 312.11
This notice was prepared and signed at
the 23rd day of November
DETROIT, MI
2010
on this,
Signature ~. Title
ACS 22-00-0001
for FRED BANKS (800) 829-3903
(NOTE: Certificate of officer authorized by law to take acknowledgment is not essential to the validity of Notice of Federal Tax lien
Rev. Rul. 71-466, 1971 - 2 C.B. 4091 Form bl+$(Y)(c) • 4Rev. 2-2004)
Parc 1 -Kept ay Recording Office CAT. NO 60025X